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You have found 219 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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REVIEW 2012 HTM file
Needle exchange and the HIV epidemic in Vancouver: Lessons learned from 15 years of research

Fifteen years of research into Vancouver’s needle and syringe programme leads to the conclusion that such programmes can stop the spread of HIV and do not increase harms. However, they can only be effective if their policies allow sufficient sterile equipment to be distributed to ensure injectors always have fresh supplies.

REVIEW 2014 HTM file
HIV prevention for adults with criminal justice involvement: A systematic review of HIV risk-reduction interventions in incarceration and community settings

Thorough search for evidence uncovers 37 studies which overall suggest that by tackling sexual and injecting risk behaviours, some interventions protect against HIV in adults with a history of criminal justice involvement. Methadone maintenance emerged as the best established.

STUDY 2017 HTM file
Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England

Lower-risk needle and syringe combinations seem acceptable to people who inject drugs in England, but given that a sudden change in equipment can be difficult to adjust to, their gradual introduction seems best, alongside an intervention to educate and support.

STUDY 2019 HTM file
Using interrupted time series analysis to measure the impact of legalized syringe exchange on HIV diagnoses in Baltimore and Philadelphia

Strong evidence from two US cities that moving from a blanket prohibition on possession of equipment for injecting illegal drugs to providing this equipment via legal needle and syringe programmes prevented thousands of HIV infections, resulting in large savings in the treatment of these infections.

STUDY 2018 HTM file
Usage of low dead space syringes and association with hepatitis C prevalence amongst people who inject drugs in the UK

For people who share injecting equipment, ‘low dead space’ syringes may lead to a reduced risk of becoming infected with blood-borne viruses by limiting the volume of fluid that is drawn up but not injected. However, they may not (yet) be suitable for all types of injectors or injections.

STUDY 2019 HTM file
Syringe disposal among people who inject drugs before and after the implementation of a syringe services program

Did Florida’s first needle exchange programme result in fewer items of used injecting equipment being left in public places? The answer comes from a walkthrough of Miami neighbourhoods and interviews with people who inject drugs before and after the programme opened its doors.

REVIEW 2003 PDF file 1150Kb
Hepatitis C and needle exchange part 1: The dimensions of the challenge

First part of the series established that hepatitis C has already infected a substantial minority of British injectors and is spreading rapidly due to continued risk behaviour allied with the robustness, infectivity and prevalence of the virus.

REVIEW 2003 PDF file 1826Kb
Hepatitis C and needle exchange part 2: case studies

Six case studies show how the complex balance of exchange services can be disrupted, leaving hepatitis C and HIV spreading rapidly. Common themes are resource starvation, local hostility, counterproductive restrictions and a non-interventionist ethic. Includes influential early studies dating from 1992.

REVIEW 2004 PDF file 784Kb
Hepatitis C and needle exchange part 3: the British record

Reveals the paucity of evidence that exchanges in Britain have directly reduced risk behaviour or infection spread, and the hidden flaw in the seminal pilot study. Lack of real impact is probably less the problem than lack of real evidence of impact.

REVIEW 2004 PDF file 1222Kb
Hepatitis C and needle exchange part 4: the active ingredients

Final part of the series pulls together the threads in the form of the limitations which threaten viral control and the practice ingredients which hold promise for the future. A revitalised agenda commensurate with the challenge of hepatitis C.


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